Patrick Ziemann-Gimmel, MD
Anesthesiology · St Augustine, FLNPI 1023008489
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (39.5%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Acacia Pharma Inc at 36.0% of the total. Reporting peaked in 2021 at $3,232 and has fallen 99.3% since, to $23 in 2025. Among anesthesiology clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 86 payments — averaging $81.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acacia Pharma Inc$3K
- Getinge USA Sales, LLC$2K
- Edwards Lifesciences$842
- Abiomed$618
- Boston Scientific$532
- Abbott$171
- plus $556 from 11 others
What the payments were for
- Consulting fees$2,40034%
- Speaking & faculty fees$1,20017%
- Travel & lodging$6099%
- Food & beverage$2,75639%
- Education$140%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Acacia Pharma Inc | 4 | $2,516 |
| Getinge USA Sales, LLC | 14 | $1,744 |
| Edwards Lifesciences | 24 | $842 |
| Abiomed | 2 | $618 |
| Boston Scientific | 11 | $532 |
| Abbott | 2 | $171 |
| Merck | 7 | $120 |
| Heron Therapeutics, Inc. | 7 | $120 |
| Pacira Pharmaceuticals Incorporated | 5 | $84 |
| Shockwave Medical, Inc | 1 | $64 |
| Mallinckrodt Enterprises LLC | 3 | $50 |
| Medtronic | 1 | $26 |
| GE HealthCare | 1 | $22 |
| Covidien LP | 1 | $19 |
| Chiesi USA, Inc. | 1 | $19 |
| Cvrx, Inc. | 1 | $15 |
| Acelrx Pharmaceuticals, Inc. | 1 | $15 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- BARHEMSYS$2,400
- FLOW-i$1,308
- Impella$595
- ClearSight System$257
- Edwards SAPIEN 3 Ultra Transcatheter Heart Valve$244
- MitraClip System$153
- WATCHMAN Access System$129
- FLOW-i C40$122
- Watchman$119
How this compares
$6,979 in reported general payments places this provider in the 95th percentile of 2,767 anesthesiology providers in Florida.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other anesthesiology in St Augustine
- Robert LondonOrlando$402K
- Todd HorowitzDelray Beach$267K
- Darren WredeLargo$211K
- Ralf GebhardMiami$166K
- Adam BlombergHollywood$120K
- Andre BoezaartGainesville$119K
- Samantha NiekampMiami$82K
- Jackson WagonerGainesville$70K
- Sorin BrullJacksonville$66K
- Roman DudarykMiami$57K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.